Inj daptomycin (xellia) at Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
$0.04
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$0.71
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$0.03 with HORIZON vs $0.55 with HORIZON — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| HORIZON | MANAGED MEDICAID | $0.03 | ↓ -25% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $0.04 | ↑ +0% |
| AETNA | MEDICARE ADVANTAGE | $0.04 | ↑ +0% |
| AMERIGROUP | MEDICARE ADVANTAGE | $0.04 | ↑ +0% |
| VACCN | ALL PRODUCTS | $0.04 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $0.04 | ↑ +0% |
| UNITED HEALTHCARE | DSNP | $0.05 | ↑ +25% |
| KARNA | MEDICARE ADVANTAGE | $0.07 | ↑ +75% |
| CLOVER | MEDICARE ADVANTAGE | $0.10 | ↑ +150% |
| QUALCARE | HMO | $0.21 | ↑ +425% |
| QUALCARE | PPO | $0.21 | ↑ +425% |
| QUALCARE | WORKERS COMP | $0.21 | ↑ +425% |
| WELLCARE | MEDICARE ADVANTAGE | $0.26 | ↑ +550% |
| WELLCARE | MANAGED MEDICAID | $0.26 | ↑ +550% |
| AMERIHEALTH | LOCAL HMO | $0.27 | ↑ +575% |
| CIGNA | HMO | $0.28 | ↑ +600% |
| CIGNA | PPO | $0.28 | ↑ +600% |
| AETNA | MANAGED MEDICAID | $0.28 | ↑ +600% |
| AMERIGROUP | MANAGED MEDICAID | $0.29 | ↑ +625% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $0.29 | ↑ +625% |
| AMERIHEALTH | REGIONAL HMO | $0.30 | ↑ +650% |
| BERGEN RISK | ALL PRODUCTS | $0.34 | ↑ +750% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $0.34 | ↑ +750% |
| AETNA | PPO | $0.35 | ↑ +775% |
| AETNA | HMO | $0.35 | ↑ +775% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $0.43 | ↑ +975% |
| HORIZON | PIP | $0.44 | ↑ +1000% |
| HORIZON | OMNIA | $0.44 | ↑ +1000% |
| HORIZON | WORKERS COMP | $0.44 | ↑ +1000% |
| AETNA | ASA | $0.45 | ↑ +1025% |
| CIGNA | BH | $0.46 | ↑ +1050% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $0.48 | ↑ +1100% |
| HORIZON | INDEMNITY | $0.48 | ↑ +1100% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $0.51 | ↑ +1175% |
| HORIZON | SHP | $0.53 | ↑ +1225% |
| HORIZON | HMO | $0.54 | ↑ +1250% |
| HORIZON | PPO | $0.55 | ↑ +1275% |
| UNITED HEALTHCARE | HMO | not published by hospital | — |
| OXFORD | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Inj daptomycin (xellia) at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $0.04 | $0.03 – $0.07 |
| Jersey Shore University Medical Center | Neptune City | $0.04 | $0.03 – $0.07 |
| Palisades Medical Center | North Bergen | $0.04 | $0.03 – $0.07 |
| Riverview Medical Center | Red Bank | $0.04 | $0.03 – $0.07 |
| Southern Ocean Medical Center | Manahawkin | $0.04 | $0.03 – $0.07 |